Quality/ Safety Manager- Radiology

SUMMARY OF POSITION:

Quality/ Safety Manager, Unified Department of Radiology

The position is responsible for establishment, implementation and monitoring of the centralized Performance Improvement/Performance Control Plan for the Department of Radiology under the direction of the Department Administrator. They will function as the administrative and technical leader for ensuring all goals for quality, safety, compliance, and accreditations are met. They will lead multidisciplinary teams to coordinate improvement efforts, manage departmental policies, and educate on the latest guidelines and regulations from TJC, ACR, DOH, MQSA, and other regulating bodies.

This individual will work closely with the Medical Director of Quality and Safety and leadership across all Montefiore Radiology sites.

EDUCATION AND REQUIREMENTS:

Master's Degree- Masters in Public Health or equivalent with two years administrative experience.

ARRT or RN preferred

Lean Sigma training preferred

Familiarity with JCAHO and New York State regulatory requirements

Responsible to ensure department up to date on Joint Commission Compliance/ Readiness

Responsibility includes Patient identification Compliance

Hand Hygiene/ Infection Control Compliance

Responsibility includes Contrast Extravasation follow up/ Committee

Responsibility includes ACR Accreditations

Responsibility includes ACR GRID, CTC, LCSR, 3D Registries

Maintains ACR DICOE Accreditation

Documents Midas Events/ follow up

Responsibility includes Dose Optimization Committee Meeting

Dose Monitoring Alert/ Committee updates

QA Assurance Program & Committee Meeting

Responsibility Radiology Repeat/Reject Analysis Compliance

Responsibility includes DOH Inspection Readiness & Compliance

Responsibility includes PDM Monitor Cleaning Compliance

Maintain Radiology Policy & Procedure implantation & updates

Responsibility includes MQC -OPPE report

Responsibility includes Radiologist Peer Review

Maintain relationships with Regulatory Liaison

Documents and Communicates Medical Device Recall

Maintain relationships with all Radiology site leadership

Sedation Team Committee

Radiation Safety Committee

ACR – Radpeer

Department: Radiology Bargaining Unit: Non Union Campus: MOSES Employment Status: Regular Full-Time Address: 111 East 210th Street, Bronx

Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 208081 Salary Range/Pay Rate: $87,750.00 - $117,000.00

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

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